Pineo G F, Thorndyke W C, Steed B L
Department of Medicine, Calgary General Hospital, Alberta, Canada.
J Urol. 1987 Nov;138(5):1223-5. doi: 10.1016/s0022-5347(17)43557-9.
We report a case in which a renal scan and angiography revealed a renal artery thrombosis. The only presenting symptom was left flank pain and no predisposing factors could be found on clinical or laboratory examination. Local infusion of streptokinase through an intra-arterial catheter led to complete dissolution of the thrombus despite the fact that it had been present for 13 days. The renal scan immediately after thrombolysis demonstrated the dramatic return of function to the involved kidney, although a repeat scan at 3 months showed evidence of the previous ischemia. Selective fibrinolytic therapy offers an option to surgery in selected patients with renal artery thrombosis.
我们报告一例肾扫描和血管造影显示肾动脉血栓形成的病例。唯一的症状是左侧腰痛，临床及实验室检查未发现诱发因素。尽管血栓已存在13天，但通过动脉内导管局部输注链激酶使血栓完全溶解。溶栓后立即进行的肾扫描显示受累肾脏功能显著恢复，尽管3个月后复查扫描显示有既往缺血的证据。对于部分肾动脉血栓形成患者，选择性纤溶治疗为手术提供了一种选择。
